Amanda Marie Beck, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600455 Issued in MI

Practice address

220 N Glocheski Dr
Manistee, MI 49660-2635

Phone

(231) 398-9305

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1104485333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602635",
            "telephone_number": "231-398-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602635",
            "telephone_number": "231-398-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2951000658",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Barry, MD
• Margaret R Batzer, R.AC.
• Theodore N Batzer, MD
• Ashley Nicole Bauman, OD
• Cassandra Beard
• Mary K Becker-Witt, LMSW
• Aaron Ajax Bennett, D.O.
• Berard & Stefanski Dentistry Partnership
• Thomas A Berard, DDS
• Dawn Arlene Berry-Nath, LMHP

• All providers in Manistee, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.